Question 1

The nurse is caring for a patient receiving parenteral nutrition (PN) .In planning the patient's care for the day,which nursing assessment is most essential?

Accepted Answer

A)  Electrolyte levels
B)  Weight
C)  Temperature
D)  Condition of catheter insertion site

Question 2

The nurse is caring for a patient who is receiving PN.As part of therapy,the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?

Accepted Answer

A)  Lower than normal blood glucose to determine adequate tolerance for PN
B)  Slightly higher than normal blood glucose to meet increased cellular needs
C)  Slightly higher than normal blood glucose to prevent infection or systemic sepsis
D)  Normal blood glucose to prevent associated complications

Question 3

A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?

Accepted Answer

A)  Enteral nutrition (EN) 
B)  Parenteral nutrition (PN) 
C)  A combination of enteral and parenteral nutrition
D)  Oral nutrition

Question 4

To detect a common untoward effect of interrupting a parenteral nutrition (PN) infusion,the nurse should assess the patient for development of which symptom?

Accepted Answer

A)  Fever
B)  Chest pain
C)  Erythema and induration
D)  Shaking and dizziness

Question 5

Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN) ?

Accepted Answer

A)  Weight gain of 1 to 2 pounds per week
B)  Serum calcium level of 10 mEq/L
C)  Serum potassium level of 2.8 mEq/L
D)  Serum glucose level of more than 200 mg/100 mL

Question 6

The nurse is caring for a patient who is receiving parenteral nutrition (PN) .The nurse realizes that PN is associated with which of the following risks? (Select all that apply. )

Accepted Answer

A)  Decreased mortality
B)  Bloodstream infection
C)  Pneumothorax
D)  Decreased length of stay
E)  Liver disease

Question 7

A patient receiving parenteral nutrition (PN) has gained 4 pounds over a 24-hour period.Given this weight gain,which interpretation by the nurse is most accurate?

Accepted Answer

A)  Increased nutrition from the patient's parenteral infusions
B)  Decreased linoleic acid intake
C)  Increased fluid loss
D)  Fluid retention D

Question 8

The patient will be discharged to home on parenteral nutrition (PN) .The patient and his family education will need to perform which of the following care steps? (Select all that apply. )

Accepted Answer

A)  Monitor the patient's weight.
B)  Monitor the patient's serum glucose levels.
C)  Measure the patient's intake and output.
D)  Perform catheter care.
E)  Limit the patient's activity.

Question 9

The nurse is managing the care of a patient receiving parenteral nutrition (PN) .Which assessment finding indicates potential septicemia?

Accepted Answer

A)  Shakiness and dizziness
B)  Chest pain/hypotension
C)  Increased thirst
D)  Increased temperature

Question 10

The nurse has been caring for a patient who has had a central venous access device (CVAD) in place.The patient complains of sudden chest pain and difficulty breathing.These assessment findings are symptoms of which severe complication?

Accepted Answer

A)  Exit site infection
B)  Catheter-related sepsis
C)  Pneumothorax
D)  Hyperglycemia

Question 11

The patient has been ordered to receive parenteral nutrition (PN) but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?

Accepted Answer

A)  Second intravenous line
B)  Enteral feeding tube
C)  Central venous access device (CVA
D)  
D)  Parenteral feeding tube

Question 12

If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.

Accepted Answer

5% dextrose
The 5% dextrose solution will maintain the fluid and electrolyte balance of the patient until the PN therapy may be either restarted or gradually withdrawn.

Question 13

During intravenous (IV) administration of fat (lipid) emulsions,the patient voices complaints.Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?

Accepted Answer

A)  Fever,chills,and malaise
B)  Low temperature,chills,and headache
C)  Fever,flushing,and muscle relaxation
D)  Low temperature,muscle aches,and dyspnea A

Question 14

A patient had surgery 1 week ago,has not been eating his meals,and states that he has no appetite.The nurse assesses that the patient has been progressively losing weight.Which intervention has the highest priority?

Accepted Answer

A)  Encourage the patient to eat.
B)  Force-feed the patient.
C)  Consult with the nutritional support team.
D)  Be aware that the patient will come around when hungry.

Exam 33: Parenteral Nutrition

The nurse is caring for a patient receiving parenteral nutrition (PN) .In planning the patient's care for the day,which nursing assessment is most essential?

Correct Answer
verified

The nurse is caring for a patient who is receiving PN.As part of therapy,the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?

Correct Answer
verified

A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?

Correct Answer
verified

To detect a common untoward effect of interrupting a parenteral nutrition (PN) infusion,the nurse should assess the patient for development of which symptom?

Correct Answer
verified

Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN) ?

Correct Answer
verified

The nurse is caring for a patient who is receiving parenteral nutrition (PN) .The nurse realizes that PN is associated with which of the following risks? (Select all that apply. )

Correct Answer
verified

A patient receiving parenteral nutrition (PN) has gained 4 pounds over a 24-hour period.Given this weight gain,which interpretation by the nurse is most accurate?

Correct Answer
verified
D

The patient will be discharged to home on parenteral nutrition (PN) .The patient and his family education will need to perform which of the following care steps? (Select all that apply. )

Correct Answer
verified

The nurse is managing the care of a patient receiving parenteral nutrition (PN) .Which assessment finding indicates potential septicemia?

Correct Answer
verified

The nurse has been caring for a patient who has had a central venous access device (CVAD) in place.The patient complains of sudden chest pain and difficulty breathing.These assessment findings are symptoms of which severe complication?

Correct Answer
verified

The patient has been ordered to receive parenteral nutrition (PN) but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?

Correct Answer
verified

If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.

Correct Answer
verified
5% dextrose The 5% dextrose solution will maintain the fluid and electrolyte balance of the patient until the PN therapy may be either restarted or gradually withdrawn.

During intravenous (IV) administration of fat (lipid) emulsions,the patient voices complaints.Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?

Correct Answer
verified
A

A patient had surgery 1 week ago,has not been eating his meals,and states that he has no appetite.The nurse assesses that the patient has been progressively losing weight.Which intervention has the highest priority?

Correct Answer
verified

Exam 33: Parenteral Nutrition

The nurse is caring for a patient receiving parenteral nutrition (PN) .In planning the patient's care for the day,which nursing assessment is most essential?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who is receiving PN.As part of therapy,the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?

Correct AnswerverifiedShow Answer

A 72-year-old patient is admitted to the hospital with a medical diagnosis of intestinal failure.Which intervention should the nurse include in the plan of care to deliver nutritional needs?

Correct AnswerverifiedShow Answer

To detect a common untoward effect of interrupting a parenteral nutrition (PN) infusion,the nurse should assess the patient for development of which symptom?

Correct AnswerverifiedShow Answer

Which assessment should a nurse expect to see for a patient receiving parenteral nutrition (PN) ?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who is receiving parenteral nutrition (PN) .The nurse realizes that PN is associated with which of the following risks? (Select all that apply. )

Correct AnswerverifiedShow Answer

A patient receiving parenteral nutrition (PN) has gained 4 pounds over a 24-hour period.Given this weight gain,which interpretation by the nurse is most accurate?

Correct AnswerverifiedD

The patient will be discharged to home on parenteral nutrition (PN) .The patient and his family education will need to perform which of the following care steps? (Select all that apply. )

Correct AnswerverifiedShow Answer

The nurse is managing the care of a patient receiving parenteral nutrition (PN) .Which assessment finding indicates potential septicemia?

Correct AnswerverifiedShow Answer

The nurse has been caring for a patient who has had a central venous access device (CVAD) in place.The patient complains of sudden chest pain and difficulty breathing.These assessment findings are symptoms of which severe complication?

Correct AnswerverifiedShow Answer

The patient has been ordered to receive parenteral nutrition (PN) but will require the nutritional therapy to continue for several months.Which route is most important for the nurse to consider?

Correct AnswerverifiedShow Answer

If parenteral nutrition (PN)must be discontinued suddenly,hang __________ in water at the same infusion rate to prevent hypoglycemia.

Correct Answerverified5% dextrose The 5% dextrose solution will maintain the fluid and electrolyte balance of the patient until the PN therapy may be either restarted or gradually withdrawn.

During intravenous (IV) administration of fat (lipid) emulsions,the patient voices complaints.Which complaint indicates to the nurse that the patient is experiencing a complication associated with the administration?

Correct AnswerverifiedA

A patient had surgery 1 week ago,has not been eating his meals,and states that he has no appetite.The nurse assesses that the patient has been progressively losing weight.Which intervention has the highest priority?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
5% dextrose The 5% dextrose solution will maintain the fluid and electrolyte balance of the patient until the PN therapy may be either restarted or gradually withdrawn.

Correct Answer
verified
A

Correct Answer
verified